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[持续抗青光眼药物治疗作为干眼的一个危险因素]

[Continuous anti-glaucoma drug therapy as a risk factor of dry eye].

作者信息

Erichev V P, Petrov S Yu, Volzhanin A V, Ghazaryan S A

机构信息

Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021.

Yerevan State Medical University after Mkhitar Heratsi, 2 Koryuna St., Erevan, Republic of Armenia, 0025.

出版信息

Vestn Oftalmol. 2019;135(6):117-123. doi: 10.17116/oftalma2019135061117.

Abstract

A preservative is a mandatory component of the eye drops designed to prevent microbial contamination in an opened bottle. Most of the preservative agents are either detergents, or oxidants; the most widely used and well-studied preservative - benzalkonium chloride - is a detergent. Due to regular usage of glaucoma eye drops, cytotoxic impact of the preservatives on anterior eye surface is considered the principal cause of its pathology, which leads to a decrease in quality of life. The high cost of preservative-free pharmacological forms and the complicated process of developing new preservatives make the usage of eye drops with minimal required concentration of preservative agent and a moistening component a good compromise. The most commonly utilized moistening component is polyvinyl alcohol - synthetic polymeric hydrogel, which is also used in artificial tears and bioengineering.

摘要

防腐剂是眼药水的必要成分,旨在防止开封瓶中的微生物污染。大多数防腐剂要么是洗涤剂,要么是氧化剂;使用最广泛且研究最多的防腐剂——苯扎氯铵——是一种洗涤剂。由于青光眼眼药水的常规使用,防腐剂对眼前表面的细胞毒性影响被认为是其病理的主要原因,这会导致生活质量下降。无防腐剂药物剂型的高成本以及开发新防腐剂的复杂过程,使得使用具有最低所需浓度防腐剂和保湿成分的眼药水成为一个不错的折衷方案。最常用的保湿成分是聚乙烯醇——一种合成聚合物水凝胶,它也用于人工泪液和生物工程中。

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